A kind of fixed stamp card with myometrial suture functionTechnical field
The utility model relates to the field of medical instrument technology more particularly to a kind of fixed stamps with myometrial suture functionCard.
Background technique
In endoscope-assistant surgery, in order to make elongated surgical procedure instrument enter lacuna by operative approach, mainly blocked by stampDesignated lane is established, the surgical instruments such as elongated operation pliers, electric hook, ultrasound knife enter lacuna by stamp card, to be cut offThe surgical procedure of lesion.Laparoscope stamp card is the tool used in laparoscopic surgery.It stabs card one end and is inserted into skin, the other end needsIt is fixed on skin surface.On the one hand most of laparoscope stamp card that the country uses at present is without fixed device, and pole holds during surgeryEasily sliding, loose shift, or even when appearance operation progress half, stamp card is deviate from or slides into too deep phenomenon, seriously affectsSurgical procedure is delayed operating time.When encountering above situation, domestic hospitals are often using the method for correcting stamp card position repeatedlyIt is carried out to maintain to perform the operation, stomach wall can be made to form multiple Y shape ducts in this way, peritonaeum breach increases, and easily forms pneumoderm in art, sternlyJeopardize patient vitals' safety again, during surgery and is not suitable for.On the other hand existing stamp card myometrial suture is general to be used by doctorSewing needle, manual suture, such method are high to suture technical requirements, are even more that can not suture especially for some obese patients.InState patent publication No. CN202942208U discloses sealing and the fixed system of one kind the first stamp card, described improvement stamp cardIt can be realized stamp card fixation not shake, reduce the unexpected expansion of notch, but still need to manual suture.Also have using as Chinese patent is publicA kind of minimally invasive fascia closer disclosed in the number of opening CN105266859A is sewed up the incision, but can not all be completed by an instrument wholeA operation needs to pull out stamp card, using another anastomosed by instrument, plugs instrument, increases the operating time, increase to notchAdditional injury, while increasing wound infection risk, also increase surgery cost.
Therefore, those skilled in the art is dedicated to developing a kind of fixed stamp card with myometrial suture function, can notComplete fixed and suture technical requirements by other equipment, avoid in surgical procedure stamp card it is mobile seriously affect surgical procedure andJeopardize patient vitals' safety and plug instrument increases operating difficulty and infection risk, while surgery cost and behaviour can be reducedMake the time.
Utility model content
In view of the above drawbacks of the prior art, technical problem to be solved in the utility model is most of laparoscope stampCard is easy to sliding transfer without fixed device during surgery, seriously affects surgical procedure, is delayed operating time, jeopardizes patientLife security.The notch or manual suture that stamp card leaves, but technical difficulty is high；Or it needs using another anastomosed by instrument, plugInstrument increases operating time, additional injury and infection risk to notch, also increases surgery cost.
To achieve the above object, the utility model provides a kind of fixed stamp card with myometrial suture function, including stampCard main body, pressure ring, clamp and support rod, the stamp card main body include stamp card bottom, stamp card sheath, are had in the stamp card sheathCard channel is stabbed, the stamp card sheath pipe outer wall is evenly distributed with card slot, and the clamp and the support rod are mounted on the card slotInterior, the pressure ring is located above the clamp, through buckle on the card slot；Stamp card has first state and theTwo-state: in said first condition, the clamp and support rod flattening are in the card slot；In second stateUnder, expansion is in bending state between the clamp and the support rod.
Further, card slot two sides side wall is equipped with guide groove.
Further, two sides are equipped with sliding end at the top of the clamp, in the guide groove.
Further, the clamp is connected with the support rod by hinge.
Further, the pressure ring is circumferentially evenly distributed with location hole.
Further, the clamp is equipped with silica gel piece.
Further, the pocket numbers are four.
Further, pocket numbers described in the location hole, the clamp and the support rod quantity Matching are arranged.
Further, the pressure ring is detachable part.
Further, it is connected with catch bar under the pressure ring, is connected at the top of the catch bar other end and the clamp.
A kind of fixed stamp card with myometrial suture function provided by the utility model at least has technology beneficial belowEffect:
1, the utility model can be avoided by pressure ring and the fixed stamp card of clamp because of stamp card moving influence surgical procedureAnd jeopardize patient vitals' safety.
2, the utility model can be realized the function of sewing up the incision, reduce surgical device while maintaining to stab card channelThe quantity of tool and the operation of replacement instrument, when reducing operating difficulty and infection risk, while surgery cost and operation can be reducedBetween.
Make furtherly below with reference to technical effect of the attached drawing to the design of the utility model, specific structure and generationIt is bright, to be fully understood from the purpose of this utility model, feature and effect.
Detailed description of the invention
Fig. 1 is stamp card the second status architecture schematic diagram of a preferred embodiment of the utility model；
Fig. 2 is stamp card the second status architecture sectional drawing of a preferred embodiment of the utility model；
Fig. 3 is the stamp card sheath top view of a preferred embodiment of the utility model；
Fig. 4 is the stamp card first state structural schematic diagram of a preferred embodiment of the utility model；
Fig. 5 is the stamp card first state structure sectional drawing of a preferred embodiment of the utility model；
Fig. 6 is first suture suture schematic diagram of a preferred embodiment of the utility model；
Fig. 7 is the Article 2 suture suture schematic diagram of a preferred embodiment of the utility model；
Fig. 8 is that two sutures of a preferred embodiment of the utility model extract schematic diagram；
Fig. 9 is suture schematic diagram after the stamp card of a preferred embodiment of the utility model is extracted；
Figure 10 is that schematic diagram is completed in the suture of a preferred embodiment of the utility model.
Wherein, card main body 20 is stabbed, card bottom 21 is stabbed, stabs card sheath 22, stabs card channel 23, card slot 24, guide groove 25, clampPlate 26, support rod 27, hinge 267, silica gel piece 261, pressure ring 30, location hole 31, threading needle tubing 40, patient's abdominal wall tissue 10, theOne suture 50, the second suture 51, the first end 501 of the first suture, the second end 502 of the first suture, the of the second sutureOne end 511, the second end 512 of the second suture, the first surgeon's knot 5012, the second surgeon's knot 5112, star suture mouth 11.
Specific embodiment
The preferred embodiment that the utility model is introduced below with reference to Figure of description, keeps its technology contents clearerBe easy to understand.The utility model can be emerged from by many various forms of embodiments, the protection of the utility modelRange is not limited only to the embodiment mentioned in text.
In the accompanying drawings, the identical component of structure is indicated with same numbers label, everywhere the similar component of structure or function withLike numeral label indicates.The size and thickness of each component shown in the drawings are to be arbitrarily shown, and the utility model is notLimit the size and thickness of each component.Apparent in order to make to illustrate, some places suitably exaggerate the thickness of component in attached drawing.
As shown in Figure 1, the fixed stamp card with myometrial suture function of the present embodiment, including stamp card main body 20, pressure ring 30,Clamp 26 and support rod 27.Stabbing card main body 20 includes stamp card bottom 21, stabs card sheath 22, and stabbing in card sheath 22 has stamp card channel23, stamp 22 outer wall of card sheath is evenly distributed with four clamp bar slots 24.Pressure ring 30 is located at 26 top of clamp, is embedded in card slot by buckleOn 24, pressure ring 30 is circumferential to be uniformly distributed that there are four location holes 31.Clamp 26 is connected with support rod 27 by hinge 267, is sharedFour clamps 26 and support rod 27 are located in four clamp bar slots 24, are separately installed with silica gel piece 261 on four clamps 26It is aligned when expansion with four location holes 31.Pressure ring 30 has catch bar, is connected at the top of the catch bar other end and clamp 26, edgeAbout 22 card sheath of stamp pushes pressure ring 30 that the bending expansion of clamp 26 and support rod 27 may be implemented and flatten.As shown in Figure 1,Clamp 26 and support rod 27 are in unfolded state, i.e. the second shape of the fixed stamp card with myometrial suture function of the present embodimentState has angle between clamp 26 and support rod 27.As shown in Fig. 2, in the second condition, pressure ring 30 is located at patient's abdominal wall tissue10 top, clamp 26 are located at the lower part of patient's abdominal wall tissue 10, and pressure ring 30 and clamp 26 clamp patient's stomach wall group jointly10 are knitted, to secure stamp card.When clamp 26 and support rod 27 are in flat, as shown in Figure 4 and Figure 5, clampBoth 26 and support rod 27 are all located in card slot 24 on same straight line, i.e. stamp card is in first state.
As shown in Fig. 2, the positioning on silica gel piece 261 and pressure ring 30 when stamp card is in the second state, on clamp 26Hole 31 corresponds.Suture is installed in threading needle tubing 40, threading needle tubing 40 is by location hole 31, after penetrating patient's abdominal wall tissue 10Into the silica gel piece 261 on clamp 26.
As shown in figure 3,24 inner wall two sides of card slot are equipped with guide groove 25,26 top two sides of clamp are equipped with sliding end, are embedded inIn guide groove 25.
The fixed stamp fixture body operating process with myometrial suture function in the present embodiment is as follows:
Before penetrating patient's stomach wall, holds stamp card bottom 21 and lift the drive catch bar pull-up clamp 26 of pressure ring 30 and supportBar 27, it is ensured that clamp 26 and support rod 27 all flatten in card slot 24, this time stamp card is in first state, as shown in figure 5, folderLine plate 26 and support rod 27 in line, and in card slot 24, block stamp across patient's abdominal wall tissue 10 with can be convenient.MakeUsed time, hold stamp card bottom 21 by stab card main body 20 be inserted into from the wound of incision, penetrate patient's abdominal wall tissue 10 it is appropriate away fromFrom rear, pressure ring 30 is pushed down on, drives catch bar that clamp 26 and support rod 27 is pushed to be deployed into defined position, is in stamp cardSecond state plays fixed stamp as shown in Fig. 2, patient's abdominal wall tissue 10 is located between the clamp 26 after pressure ring 30 and expansionThe effect of card main body 20.Operating equipment abdominal cavity can be probeed by the stamp card channel 23 in stamp card sheath 22 at this time to perform the operationTreatment.
As shown in fig. 6, operation finishes when needing to suture, the first suture 50 is placed in threading needle tubing 40, needle tubing 40 is threadedBy location hole 31, the silica gel piece 261 on the clamp 26 for entering face after patient's abdominal wall tissue 10 is penetrated, the of the first sutureOne end 501 is clamped by silica gel piece 261, extracts threading needle tubing 40, the first end 501 of the first suture stays in silica gel piece 261.Using same method, the second end 502 of the first suture is penetrated in diagonal silica gel piece 261.As shown in fig. 7, using secondSecond end 512 of the first end 511 of the second suture and the second suture is respectively penetrated diagonal silica gel piece 261 by suture 51It is interior, so that the second suture 51 and the first suture 50 is formed a cross.As shown in figure 8, four suture ends respectively penetrate it is correspondingAfter in four silica gel pieces 261, pressure ring 30 is lifted, drives catch bar pull-up clamp 26 and support rod 27 to take in card slot 24, makesStamp card is in first state, removes pressure ring 30.As shown in figure 9, at this moment extracting stamp card main body 20, band from patient's abdominal wall tissue 10Four suture ends out, the first suture 50, the second suture 51 have penetrated patient's abdominal wall tissue 10, tense two sutures respectively, andIt is knotted using operation.As shown in Figure 10, the first surgeon's knot 5012 and the second surgeon's knot 5112 are formed, myometrial suture, leaves at this timeOne quadrangle star of very little sutures mouth 11.
The preferred embodiments of the present invention have been described in detail above.It should be appreciated that this field ordinary skill withoutIt needs creative work according to the present utility model can conceive and makes many modifications and variations.Therefore, it is all in the artTechnical staff passes through logical analysis, reasoning, or a limited experiment according to the design of the utility model on the basis of existing technology canIt, all should be within the scope of protection determined by the claims with obtained technical solution.